Organization
ENSO PSYCH GROUP, LLC
Active
Other names
Miami Mental Health Associates, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SION DOMAN LCSW (MANAGER/MEMBER)
(850) 778-1642
Entity
Organization
Contact information
Practice address
1113 S MAGNOLIA DR, TALLAHASSEE, FL 32301-4659
(850) 778-1642
Mailing address
1113 S MAGNOLIA DR, TALLAHASSEE, FL 32301-4659
(850) 778-1642
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001964700
—
FL
Enumeration date
10/04/2008
Last updated
06/11/2019
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